HomeMy Public PortalAbout5630-5630 1/2 SULTANA AVE_Plumbing__ CISS, 17 to as APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Depozmlent of County Engines:
County of Los Angel" q �d
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS O� pt4 a
CASSATT D GRIFFIN.SUP T Of SUILDINO //�
LOCALITY C IG ✓/
FOR APPLICANT TO FILL IN NEAREST - Nd
CRESS BT O ji 1J
OWNER jo DISTRICT NOGROUP I ZONE AuoY FOR INSPECTION
MAIL
ADDRESS N
CITY 7e H We TEL NO INDUSTRIAL
WASTE APPROVAL
PLUMBER INSPECTION RECORD
•ADDRESS
CRY Te m ogle, &1& TEL NO !� p
LICENSE NO OO
MUNeER TYPE OF PU(TURE OR ITEM PEE
WATERCLOSET (TOILET) $t oo $ — !& L 6:
BATH TUB $100
SHOWER oil 00
,LAVATORY (WASH BAS]N) $100
KITCHEN SINK 1 00 O —
DISHWASHER $1 00 Q'!/
LAUNDRY TUB OR TRAY ® $100
CLOTHES WASHER @ $I 00
WATER HEATER @ $100 / •�� r"
GAS SYSTEM @ $1 00 O D 7
AP ROYALS
DATE INSPECT R 9 SIGNATURE
UNDER S B WORK
PERM DO ROUGH PLUMBING C
GAS PIPING
TOTAL FEE BD
GAB VENT
1 HEREBY ALIT THE BO THAT I HAVE READ THIS APPLICATION HOT WATER HEATER Z
AND STATE TAUT THE ABOVE IE CORRECT AND AGREE E LATING
WITH ALL COUNTY ORDINANCE! AND STATE LAWS REGULATING
PLUMBING PLUPIXTaU RE9
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TESTMBING / /I .36'H I z
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 A THE EGAL ONNER OF THE ABOVE UTILITYCO NOTIFIED 'S
DESCRIBED RESIDENTIAL OPE
SIGNATURE / 6A
OFPERMITTEB FINAL ✓ i
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
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